Individual
DAMON K. TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2820 E. ROCK HAVEN RD., SUITE 100, HARRISONVILLE, MO 64701-2082
(816) 380-3582
(816) 380-6964
Mailing address
2820 E. ROCK HAVEN RD., SUITE 100, HARRISONVILLE, MO 64701-2082
(816) 380-3582
(816) 380-6964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9F85
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12635097
BLUE CROSS BLUE SHIELD
—
05
—
242267102
—
MO
01
—
5316070
AETNA
—
Enumeration date
07/20/2006
Last updated
01/13/2026
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